Clin Med Buzzwords Flashcards
Asterixis
Hepatic encephalopathy: think hepatitis or cirrhosis
Cullen sign
Pancreatitis
Murphy’s sign
Cholecystitis
Rovsing’s sign
Appendicitis
Shifting dullness
Ascites (cirrhosis)
Dry cough
GERD
Intermittent epigastric pain, worse with eating
Gastric ulcer
Intermittent epigastric pain, worse in morning on empty stomach
Duodenal ulcer
RUQ pain, radiating to back
Pancreas
Pain by location: RUQ
Gallstones
Stomach ulcer
Pancreatitis (esp radiating to back)
Pain by location: epigastric
Stomach ulcer Gallstones Pancreatitis GED Epigastric hernia
(Cardiac causes)
Pain by location: LUQ
Stomach/duodenal ulcer
Pancreatitis (more commonly RUQ)
Biliary colic
Pain by location: Right periumbilical
Constipation
UTI, kidney stones
Pain by location: periumbilical
Early appendicitis Stomach ulcer IBS Umbilical hernia Pancreatitis (on test will likely be RUQ) Bowel obstruction/ischemia AAA
Pain by location: Left periumbilical
Diverticulitis
Constipation
IBS
(Kidney stones)
Pain by location: RLQ
Appendicitis (later stage)
Constipation
R/O all ob/gyn causes
Pain by location: Suprapubic
IBS
Diverticulitis
Appendicitis (on test likely umbilical then RLQ)
R/O ob/gyn causes; r/o UTI
Pain by location: LLQ
Diverticulitis
R/O ob/gyn causes
Asthma/allergy + Dysphagia
Eosinophilic esophagitis
Traveler presenting with hepatomegaly/jaundice/pruritus
Hep A
RLQ pain
Appendicitis
LLQ pain
Diverticulitis
RUQ pain + steatorrhea
Consider chronic pancreatitis
Pancreatic calcifications
Chronic pancreatitis
Ribbon-like stool
Alarm sign for cancer (could also be caused by IBS or IBD)
Coffee Bean Sign
Volvulus
Target sign
Intussusception
On US
Pseudo-kidney sign
Intussusception
On US
Currant Jelly Stools
Intussuusception (late sign)
Bilious emesis
Surgical emergency until proven otherwise
Assumed to be malrotation with volvulus until it can be r/o.
Tinkling on auscultation
Consider bowel obstruction
5 patients who should NOT get an NGT/OGT
- Maxillofacial trauma
- Inability to protect airway
- Known strictures
- Known varices (not a CI, but sure need to be careful)
- Known caustic agent ingestion